NPIMap

Organization Active NPI

Florida United Methodist Children's Home Inc.

Doing business as Circle of Friends Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Enterprise, FL
National Provider Identifier
1225006059
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
X11030599 Issued in FL
Legal business name
FLORIDA UNITED METHODIST CHILDREN'S HOME INC.
Doing business as
Circle of Friends Services
Practice address
51 Children's Way
Enterprise, FL 32725
Phone
(386) 668-4774
Fax
(386) 668-4486
NPI assigned
Mar 9, 2006
Last updated
Apr 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kaylee VanceNPI 1629493291
Title
Director of Utilization Management
Phone
(386) 668-4774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X X11030599 FL Primary
Foster Care Agency 253J00000X X11030500 FL
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

51 Children's Way
Enterprise, FL 32725

Mailing address

51 Children's Way
Enterprise, FL 32725
Phone (386) 668-4774

Other identifiers 3

IdentifierTypeStateIssuer
X11030599OtherFLDEPT OF CHILDREN FAMILIES
X11030500OtherFLDEPT OF CHILDREN FAMILIES
070513600MedicaidFL

Other names 2

  • Circle of Friends Services Doing business as
  • FUMCH Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Enterprise

National Provider Directory

National Provider Directory
Tax ID family
Florida United Methodist Childrens Home Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2808 Enterprise Rd
Ste 105
Debary, FL 32713
Phone (386) 259-5413

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1225006059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 CHILDREN'S WAY",
            "city": "ENTERPRISE",
            "state": "FL",
            "postal_code": "32725",
            "telephone_number": "386-668-4774",
            "fax_number": "386-668-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 CHILDREN'S WAY",
            "city": "ENTERPRISE",
            "state": "FL",
            "postal_code": "32725",
            "telephone_number": "386-668-4774",
            "fax_number": "386-668-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA UNITED METHODIST CHILDREN'S HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "KAYLEE",
        "authorized_official_title_or_position": "DIRECTOR OF UTILIZATION MANAGEMENT",
        "authorized_official_telephone_number": "386-668-4774"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "FL",
            "license": "X11030599",
            "primary": true
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "FL",
            "license": "X11030500",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF CHILDREN FAMILIES",
            "identifier": "X11030599",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF CHILDREN FAMILIES",
            "identifier": "X11030500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070513600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Enterprise",
            "affiliation": "N",
            "address_1": "51 Children's Way",
            "city": "Enterprise",
            "state": "FL",
            "country_code": "US",
            "postal_code": "32725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Circle of Friends Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FUMCH",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "FUMCH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Enterprise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.